Patient and Family Guide

T A B L E  O F  C O N T E N T S

Welcome
What to Bring
Clothing List - Male
Clothing List - Female
Admissions
Bedhold/Leave of Absence
Beauty Parlor/Barber Shop
Complaints/Recommendation/Misappropriation of
Resident's Property
Designated Representative Information
Discharge Planning
Ethical Considerations
Food/Diet/Mealtimes
Gift Shop
Hospice
Infection Prevention and Control
Laundry
Library
Mail
Notary Public
Parking
Personal & Burial Funds
Privacy Act Statement
Private Physicians
Recreational Activities
Religious Services
Removal of Items
Resident Identification
Restraint Use Policy
Rules & Responsibilities
Safety
Security
Senior Crimestoppers
Smoking Rules
Support Groups
Telephones
Television Information
Tipping
Tips for Visiting
Visiting Hours
Visitors and Patient Care
Directory

WELCOME
Trump Pavilion for Nursing and Rehabilitation, Jamaica Hospital Nursing Home Co., Inc., started to build its reputation as one of the finest nursing and rehabilitation centers in January 1975. Our pride, dedication and range of services have grown from a solid foundation.

Located on the Jamaica Hospital Medical Center campus, by the Van Wyck Expressway, the five-story 204-bed facility is a private, non-profit organization that is easily accessible by car or public transportation. Serving Queens and the surrounding communities, we provide short-term and long-term stays for individuals requiring
24-hour nursing care and rehabilitation.

Our staff of experienced, knowledgeable professionals is committed to restoring each resident to his/her optimal level of functioning.

No matter how brief or extended the stay, how basic or intensive the need, our interdisciplinary approach combines excellence in health care with a special concern for the physical and emotional recovery of each resident.

WHAT TO BRING
Since closet and drawer space is limited, please bring those articles of clothing that you will be wearing daily, and rotate seasonal clothes. We request that you bring 7 changes of clothing articles. Comfortable, washable street clothing is the usual attire. Hospital-type apparel is provided whenever necessary.

All clothing and property must be labeled to prevent loss. Trump Pavilion will ensure all clothing is marked in house. Jewelry and other valuables should remain at home. We cannot be responsible for money, jewelry, electronic devices, hearing aids, dentures, eyeglasses, clothing or other personal items kept in your room. Residents may bring in a lock and key for their closet if they wish.

We cannot assume responsibility if you lose or break your dentures. PLEASE DO NOT WRAP THEM IN TISSUE, LEAVE THEM ON YOUR MEAL TRAY, or place them in anything other than the container, specifically designed for dentures, which is available at the Nurses' Station.

If you have a favorite pillow, bedspread, or afghan, please feel free to bring them in. A radio, family pictures, and other personal items are also encouraged.

Incontinent Male
8 Pairs Pants ____________
8 Shirts (no pullovers) ____________
10 Undershirts ____________
10 Pairs socks ____________
2 Pairs Slippers (washable) ____________
2 Pairs Shoes/Sneakers ____________
(velcro closures or tie laces)
3 Sweaters (washable) ____________
5 Pajamas/Nightshirts ____________
2 Belts or Clip-on Suspenders ____________
2 Robes (washable) (optional) ____________
* Seasonal attire such as coat,
jacket, hat and gloves for participating
in out-trips _____________

Toilet Articles
Comb, brush, toothbrush, toothpaste, mouthwash, deodorant, nail brush/clippers, denture cleaner and adhesive, safety razors or electric shaver, shaving cream, aftershave lotion.

The following is a list of recommended resident clothing:

Continent Female Resident Needs
7 Dresses ____________
7 Panties ____________
7 Stockings/Socks ____________
4 Slips (optional) ____________
1 Pair Slippers ____________
(2 pairs if washable)
1 Pair Shoes /Sneakers ____________
(Velcro closures or tie laces)
3 Sweaters (washable) ____________
7 Undershirts/Brassieres ____________
5 Nightgowns ____________
2 Robes (washable) (optional) ____________
*Seasonal attire such as coat,
jacket, hat and gloves for participating
in trips outdoors. ____________

Incontinent Female
8 Dresses ____________
10 Pairs socks ____________
2 Pairs Slippers (washable) ____________
2 Pairs Shoes/Sneakers ____________
(velcro closures or tie laces and low heels)
3 Sweaters (washable) ____________
8 Undershirts ____________
2 Lap Robes (covering for lap and lower legs) ____________
10 Nightgowns (loose fitting & full back closures) ____________
2 Robes (washable) (optional)
* Seasonal attire such as coat,
jacket, hat and gloves for participating
in trips outdoors. _____________

Toilet Articles
Comb, brush, bobby pins, toothbrush, toothpaste, barrettes, mouthwash, deodorant, body powder, nail brush/clippers, denture cleaner and adhesive, perfume and, if desired make-up.

ADMISSIONS:

Our staff is dedicated to making the process of admission as smooth and as pleasant as possible for the resident and family. Most of our residents are admitted directly from hospitals following hospital stays which require further skilled nursing and rehabilitative care. On, prior
to or shortly after admission, specific administrative information is
required. The resident, his or her designated representative or family member is requested to read and sign specific forms which relate to the provision of medical care and services and laundry.

The resident, his family or designated representative is responsible for signing forms of the facility which are required as facility documents by the N.Y. State Department of Health and other agencies. Such forms include but may not be limited to:

The Resident's Bill of Rights
Health Care Proxy
Admission Agreement
DNR if desired
Authorization for payment for services
Personal property release
Understanding Re: charges and insurance
Release of medical records if indicated

BED HOLD/LEAVE OF ABSENCE:

FOR MEDICARE/HMO RESIDENTS:
Medicare/HMO are Health Insurance programs that only pay for care rendered. Medicare/HMO does not pay for Bedhold days for hospitalization, or Therapeutic Leave.

FOR MEDICAID RESIDENTS:
Once you have been a resident of this facility for a total of 30 days and Medicaid has been your primary payor for at least one day, the Medicaid program will pay to retain your bed for a period of up to 20 days per hospitalization.

The same conditions apply to use of Therapeutic Leave. Therapeutic Leave is defined as an overnight absence for social functions or evaluation of a home care plan. There is no limit to the number of days used as Therapeutic Leave.

FOR PRIVATE PAYING RESIDENT:
Your bed may be reserved for you during a period of hospitalization or Therapeutic Leave. You must notify the Admitting Department of your wishes and continue to pay the prevailing daily rate to reserve your bed.

To terminate a private pay bed hold you must notify the Admitting Department 1 day prior to termination.

LEAVE OF ABSENCE:
To arrange for Leaves of Absence, the Social Work Director and Head Nurse on the nursing unit must be notified 72 hours in advance of the planned leave. This is necessary in order to obtain approval from the attending physician and any medications the resident may require.

LEAVES AGAINST MEDICAL ADVICE:
The facility is not responsible for the resident who leaves the facility against medical advice. Those who leave against medical advice forfeit many benefits which would otherwise be provided in our routine discharge process.

BEAUTY PARLOR/BARBER SHOP:
The Beauty Parlor/Barber Shop is opened Sunday, Monday, and Friday. Appointments can be made at the Front Desk or with Head Nurse of the unit.

Prices are as follows:-
Haircut………..………$ 8
Wash & Set……..…….$12
Permanent………...…..$35
Tint……………...……$15
Relaxer…………...…..$35
Jeri Curl………………$50
Wash, Press & Curl…..$18
Manicure………….. …$ 5

The resident can either pay privately or through an account in the Business Office for the above services.

COMPLAINTS/RECOMMENDATIONS
Staff at the Trump Pavilion is available at all times to listen to complaints/recommendations made by residents and/or visitors. Complaints/recommendations will be brought promptly to the attention of an appropriate member of the Administrative Staff for review and resolution. Complaint/Recommendation forms and assistance as necessary are available to help complete the form. Except under extraordinary circumstances such as health or administrative emergencies, response will be made within 21 days after receiving the complaint/recommendation.

A response to the complaint/recommendation will be in the same form as the complaint, e.g. if made in writing, the response will be in writing. Persons making complaints/recommendations will be treated courteously and respectfully at all times and should not fear retaliation against themselves or their loved one.

Staff at Trump Pavilion is also available to receive allegations of misappropriation of resident property. An investigation of the matter shall be undertaken by the facility no later than 48 hours after receipt of the allegation. The results of the review, investigation and disposition of the allegations will be given in writing to you or the complainant.

You or your Designated Representative may file a complaint with Trump Pavilion or the New York State Department of Health concerning resident abuse, neglect or misappropriation of resident property in the facility. The TRUMP HOTLINE has been established to allow residents, families and employees to have direct access to a member of the administrative staff. Please call 206-5050 (ext. 5050 from within the medical center) to reach the hotline and follow the recorded directions.

Before you contact an outside agency with your complaint, we would hope that you share your thoughts and concerns with us. We believe that we can solve problems brought to our attention before outside intervention is needed. If, however, we cannot meet your needs, the use of outside help for assistance in resolving issues is strongly encouraged.

The Department of Health can be contacted at the following location:

NEW YORK CITY AREA OFFICE
OFFICE OF HEALTH SYSTEMS MANAGEMENT
5 PENN PLAZA - 5TH FLOOR
NEW YORK, NEW YORK 10001-1803
1-800-425-0316

The State Office for the Aging Ombudsman Program also receives complaints and can be contacted at the following location:

NEW YORK FOUNDATION FOR SENIOR CITIZEN
NEW YORK CITY LONG TERM CARE OMBUDSPROGRAM
150 NASSAU STREET, SUITE 2019
NEW YORK, NEW YORK 10038
(212) 962-7817
OR CALL
NEW YORK STATE OFFICE FOR THE AGING
SENIOR CITIZENS TOLL-FREE HOTLINE
2 EMPIRE PLAZA
ALBANY, NEW YORK 12223-0001
1-800-342-9871

DESIGNATED REPRESENTATIVE RESIDENT INFORMATION:
Both Federal and State Law encourages the appointment of a "Designated Representative" to assist residents in Residential Health Care Facilities to participate more fully in the care planning and care giving process.

A Designated Representative is an individual or individuals designated to receive information and to assist and/or act in behalf of a particular resident to the extent permitted by State Law.

This Designated Representative acts NOT IN PLACE OF THE RESIDENT, but rather in conjunction with the resident, to more fully explore, with professional staff, meaningful ways to maintain the highest level of functioning and independence of the individual resident.

The Designated Representative may be selected by the resident, if capable and/or by the family members and other parties who have an interest in the well-being of the resident who, after discussion with the facility, identify the individual or individuals most personally involved in the resident's care, if the resident lacks the capacity to make such designation.

The Designated Representative, with the resident, is kept fully informed of all particulars of the resident's care program, treatments, medications, therapy regimes, etc. The Designated Representative with the resident provides meaningful input into the design of the total care program for the resident, helping staff as well as the resident to understand what and why processes are initiated, modified or discontinued.

The Social Worker and Nursing staff will further explore with you the
value of having a "Designated Representative" appointed, and how the
resident and the facility can improve communications and services to the resident using this valuable "Significant Other" in the provision of quality care to the resident.

DISCHARGE PLANNING:
Discharge planning is a cooperative process that begins upon admission. Members of the Health Care Team work closely with the resident and family or resident representative and outside agencies to assure that all concerned are prepared for the resident's discharge. This planning process may include resident and family teaching, acquiring home care services, referral and assistance with transferring to another facility and the acquisition of financial assistance. When the Health Care Team determines that the resident is ready for discharge, the family or designated representative will be notified. At this time, a meeting will be arranged with the resident, family, and relevant, Health Care Team Members. The purpose of the meeting will be to make concrete plans for the discharge and to answer questions of the resident and family. Discharges are routinely scheduled for Monday through Thursday at 10:00 a.m. Please note, the attending physician must write an order approving a discharge.

ETHICAL CONSIDERATIONS:
Trump Pavilion has a mechanism for discussion and decision making for those cases presenting an ethical and/or legal problem. The Ethics Committee will consist of members of the Comprehensive Care Planning Team plus additional selected personnel and any other person desired by the resident and/or the family member. You can access this Committee by contacting any member of the Social Work Staff.

FOOD/DIETS/MEALTIMES:
Many residents are placed on therapeutic diets, specifically prescribed for safety/health issues. Such diets may include mechanically altered/thickened foods or beverages, sodium, sugar or fluid restrictions etc. If family members or visitors bring food or beverages to this facility, PLEASE check with the dietician. Please limit the amount of food left for a resident.

Plastic covered containers are issued to each resident for storing food. Also, please never leave food requiring refrigeration at the bedside.

Breakfast is served on the nursing units. Lunch and dinner are served in the main dining room for residents requiring minimal assistance with
meals. For those residents who require supervision or assistance, meals are served in the day room on each unit.

MEAL HOURS: Breakfast………7:00 a.m.
Lunch………...12 noon
Dinner…………5:00 p.m.
Minor variations occur during special events.

FOOD OR MEDICATIONS BROUGHT INTO THE FACILITY
Resident, families, representative and visitors must not bring medications or alcoholic beverages into the facility. Such items, if brought in, will be confiscated or responsible parties asked to remove them.

GIFT SHOP:
Our gift shop which is opened Monday through Friday 9:00 a.m. until 3:00 p.m., and closed on weekends, is stocked with an assortment of goodies and toiletries for the resident and visitors.

HOSPICE:
Hospice services are available at Trump Pavilion for those residents in the terminal phase of disease who choose non-aggressive, comfort care. The resident and/or family member can speak with the Social Worker, at any point during their stay, about such services. .

INFECTION PREVENTION AND CONTROL:
Many of our residents are fragile elderly, therefore, we request that you do not visit if you have a condition which might be transmitted to the resident. Also, should the resident have an infection, you will be instructed by staff on how to protect yourself. Since most infections
are transmitted by "hands", we encourage you to wash your hands upon entering and leaving the resident's room. Use the sinks in the rooms.

Dry your hands with paper towels and turn off faucets with paper towels which you used to dry your hands. Please do not touch any dressings or equipment used for the resident's care. Soiled clothing is never to be placed with clean clothing or in drawers or bedside cabinets. Mesh bags are provided for that purpose. We ask for your assistance in assuring that the resident has an adequate supply of clean, neat clothing, appropriate for the season.

LAUNDRY
Laundry service is provided, at no charge, for residents' personal laundry. Relative and/or friends, if they wish, may do laundry and ironing at any time. We request, however, that you notify your Head Nurse if a family member will be doing the laundry.

LIBRARY
Located on the Main Floor. An excellent supply of reading material is available for residents.

MAIL
All residents' mail is delivered unopened to each resident's room by the Recreation Therapy Department daily except Sundays and holidays. Assistance will be provided for opening and reading mail if requested by the resident. Outgoing mail with postage can be brought to the front desk for mailing.

Please address mail for residents in the following manner:
Name of Resident _th Floor
Trump Pavilion for Nursing and Rehabilitation
90-28 Van Wyck Expressway
Jamaica, NY 11418

NOTARY PUBLIC
If you require the services of a Notary Public, you can contact Giselle Porter, Director of Recreational Activities or Carol Geraci, Secretary, Social Work Services.

PARKING:
There is a new parking garage on the corner of 89th Avenue off the Van Wyck Expressway. For further information, please call the Admissions Office.

PERSONAL & BURIAL FUNDS:
Monies may be deposited in an interest-bearing account in the Business Office. Quarterly statements are provided for each individual utilizing this service. Resident's funds can be obtained Monday - Friday
10 a.m. - 12 noon and 2:00 p.m. - 4:00 p.m. in the Business Office located on the first floor. The Social Work Department or a representative from the business office will discuss with you your options regarding the handling of your personal funds.

PRIVACY ACT STATEMENT - HEALTH CARE RECORDS

THIS FORM PROVIDES YOU THE ADVICE REQUIRED BY THE PRIVACY ACT OF 1974. THIS FORM IS NOT A CONSENT FORM TO RELEASE OR USE HEALTH CARE INFORMATION PERTAINING TO YOU.

1. AUTHORITY FOR COLLECTION OF INFORMATION, INCLUDING SOCIAL SECURITY NUMBER AND WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY.
Sections 1819(f), 1919(f), 1819(b)(3)(A), 1919(b)(3)(A), and 1864 of the Social Security Act.

Medicare and Medicaid participating long term care facilities are required to conduct comprehensive, accurate, standardized and reproducible assessments of each resident's functional capacity and health status. To implement this requirement, the facility must obtain information from every resident. This information also is used by the Federal Health Care Financing Administration (HCFA) to ensure that the facility meets quality standards and provides appropriate care to all residents. For this purpose, as of June 22, 1998, all such facilities are required to establish a database of resident assessment information, and to electronically transmit this information to HCFA.

Because the law requires disclosure of this information to Federal and State sources as discussed above, a resident does not have the right to refuse consent to these disclosures.

These data are protected under the requirements of the Federal Privacy Act of 1974 and the MDS Long Term Care System of Records.

2. PRINCIPAL PURPOSES FOR WHICH INFORMATION IS INTENDED TO BE USED
The information will be used to track changes in health and functional status over time for purposes of evaluating and improving the quality of care provided by nursing homes that participate in Medicare or Medicaid. Submission of MDS information may also be necessary for the nursing homes to receive reimbursement for Medicare services.

3. ROUTINE USES
The primary use of this information is to aid in the administration of the survey and certification of Medicare/Medicaid long term care facilities and to improve the effectiveness and quality of care given in those facilities. This system will also support regulatory, reimbursement, policy, and research functions. This system will collect the minimum amount of personal data needed to accomplish its stated purpose.

The information collected will be entered into the Long Term Care Minimum Data Set (LTC MDS) system of records, System No. 09-70- 1516. Information from this system may be disclosed, under specific circumstances, to: (1) a congressional office from the record of an individual in response to an inquiry from the congressional made at the request of that individual; (2) the Federal Bureau of Census; (3) the Federal Department of Justice; (4) an individual or organization for a research, evaluation, or epidemiological project related to the prevention of disease of disability, or the restoration of health; (5) contractors working for HCFA to carry out Medicare/Medicaid functions, collating or analyzing data, or to detect fraud or abuse; (6) an agency of a State government for purposes of determining, evaluating and/or assessing overall or aggregate cost, effectiveness, and/or quality of health care services provided in the State; (7) another Federal agency to fulfill a requirement of a Federal statue that implements a health benefits program funded in whole or in part with Federal funds or to detect fraud or abuse; (8) Peer Review Organizations to perform Title X1 or Title XV111 functions, (9) another entity that makes payment for an oversees administrative of health care services for preventing fraud or abuse under specific conditions.

3. EFFECT ON INDIVIDUAL OF NOT PROVIDING INFORMATION
The information contained in the Long Term Care Minimum Data Set is generally necessary for the facility to provide appropriate and effective care to each resident. If a resident fails to provide such information, for example on medical history, inappropriate and potentially harmful care may result. Moreover, payment for such services by third parties, including Medicare and Medicaid, may not be available unless the facility has sufficient information to identify the individual and support a claim for payment.

NOTE: Providers may request to have the Resident or his or her Representative sign a copy of this notice as a means to document that notice was provided. Signature is NOT required. If the Resident or his or her Representative agrees to sign the form it merely acknowledges that they have been advised of the foregoing information. Residents or their Representative must be supplied with a copy of the notice. This notice may be included in the admission packet for all new nursing home admissions.

PRIVATE PHYSICIANS, CONSULTATIONS, SECOND OPINIONS

a) Should a resident, family or representative desire a consultation or second opinion regarding the resident's condition, the request should be made to the Medical Director. The Resident or designated representative will assume financial responsibility for the additional service.

b) Consultant physicians who are not on our staff, may not treat or examine residents without prior approval and/or clearance by the Medical Director.

RECREATIONAL ACTIVITIES:
The Trump Pavilion agrees to provide a 7 day a week activities program which is meaningful to the Resident, including but not limited to a planned schedule of recreational motivational and social activities, as well as necessary materials and supplies to accomplish them.

RELIGIOUS SERVICES:
SUNDAYS
Catholic Mass - 10:30 a.m.
Protestant Services - 3:00 p.m.

Eucharistic Ministers visit residents on unit and in rooms on Wednesdays.

Jewish Services are scheduled for special holidays. Announcements are posted regarding the time.

For any other religious services, please contact the Recreation Department.

REMOVAL OF ITEMS BELONGING TO RESIDENTS:
Should family members take items home, please inform the charge nurse and the resident.

RESIDENT IDENTIFICATION
In compliance with state laws and professional standards of practice, all residents must be easily identified at all times. This is accomplished by
identification bracelets and the placement of the resident's name on his bed and door. Please do not remove any of these identification labels. Also, please report any missing labels to the Head Nurse.

RESTRAINT USE POLICY
Definition:
"….a resident has the right to be free from….any
physical or chemical restraints imposed for the purpose
of discipline or convenience, and not required to treat
the resident's medical symptoms."

"Physical restraints are any manual method or physical
or manual device, material, or equipment attached or
adjacent to resident's body that the individual cannot
remove easily which restricts freedom of movement or
normal access to one's body."
Interpretive guideline. 483.13(a) OBRA.

The Jamaica Hospital Nursing Home Co., Inc. has adopted protocols that strictly limit restraint use. A comprehensive team of professionals (Medicine, Nursing, O.T., P.T., Social Services, and Recreation Therapy as necessary) will assess each resident to determine whether a restraint or restraint alternative is indicated.

If restraint use becomes necessary after admission, except in an emergency, consent will be obtained from the resident, where possible, or the designated representative. At this time, the pros and cons of restraint use will be discussed.

Family demands for bedrails or other restraints will be honored only if medical symptoms justify bedrail use and the resident, when possible, agrees.

A resident's request for bedrails or other restraint use must be coordinated with medical symptoms and justified.

RULES AND RESPONSIBILITIES FOR THE RESIDENT
In compliance with section 483.10 of the New York State Code the following rules, responsibilities and expectations have been developed to enhance the quality of care and safety of our residents. These rules and responsibilities will be presented both orally and in writing, which will be acknowledged by signature. We recognize and believe that the resident's ability to maintain close contact with family and friends is important to the resident's overall health and well being. We ask for your support in adhering to the following Rules and Responsibilities:

1. The resident, his/her family or designated representative is responsible for providing to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating
to his/her health. (i.e. - allergies, frequent falls, fears, special likes, dislikes and habits.)

2. The resident, family or his/her designated representative is expected to report unexpected changes in his/her condition where
possible.

3. The resident, if capable, is responsible for making it known clearly whether he/she understands a planned course of action and what is expected of him/her.

4. The resident is responsible for following the treatment recommended by the practitioner primarily responsible for his
care and for following facility rules and regulations affecting resident care and conduct. Residents are responsible for their
actions if they refuse treatment or refuse to follow the practitioner's instructions and must sign a Release of Responsibility form.

Should a resident refuse treatment, refuse to follow the practitioner's instructions or refuse to abide by the policies of the facility, the facility reserves the right to request a conference with the resident and or his family or designated representative. The purpose of this conference is to assure that the resident, the family and his/her designated representative understands the resident's condition or other problems, recommend treatment and possible consequences of refusing treatment.

5. Assuring that the financial obligations for your health care are fulfilled as promptly as possible.

6. The resident is responsible for being considerate of the rights of other residents, facility personnel and his personal behavior in the control of noise, smoking and number of visitors.

7. Residents, families and visitors are expected to be respectful of the property of other people and the facility.

8. The resident is informed in the Admission process, as evidenced by signed acknowledgement, of all rules and regulations governing resident conduct and responsibilities.

9. If the resident has been adjudicated incompetent in accordance with law, is found by physician to be medically incapable of understanding these responsibilities, or exhibits a communication barrier, these responsibilities are assumed for the resident by his or her Designated Representative.

YOU ARE RESPONSIBLE TO:
· Bring concerns and problems to the appropriate staff member;
· Display the same courtesy and consideration towards the staff as you would expect to receive from them;
· Be informed that tipping is not permitted; by doing so you jeopardize the staff member's employment.
· Safeguard the Home's property and use supplies and services
economically.

SAFETY
All electrical equipment brought into the building must be checked by the Maintenance Department. Equipment not permitted in the facility for resident use includes but is not limited to, electric blankets, electric heating pads, items for heating liquids such as hot plates, coffee pots or comparable items.

FIRE DRILLS/DISASTER DRILLS:
Should you be present during fire/disaster drills, please follow directions of staff. Remain behind closed fire doors to rooms. Do not use elevators until the "all clear" is sounded.

USE OF STAIRWELLS AND ELEVATORS:
Residents and visitors are not permitted to use stairwells. Stairs are only used during an actual fire or practice evacuation and must be kept clear at all times. Elevators in the front lobby are to be used by
residents and visitors. Residents are given priority in the use of elevators.

SECURITY:
The Security Department is on duty 24 hours a day 7 days a week. When visiting our facility all visitors are to sign in at the front desk and obtain a visitors sticker.

We ask that residents not bring large amounts of cash or valuables. Keeping our Nursing Home safe and secure, also makes it a more caring place.

SENIOR CRIMESTOPPERS:
The Senior Crimestoppers program represents perhaps the most unique partnership alliance ever formed for the good of a common cause, the safety and protection against theft and crime for the residents, staff, management, family and visitors to nursing homes, long and short term care facilities, and retirement and assisted living communities. The alliance consists of: (1) the management and staff of the facilities, (2) the residents themselves, (3) the families of residents, (4) financial institutions, (5) the media, (6) law enforcement, (7) Triad (which includes the National Sheriffs' Association, (NSA) The International Association of Chiefs of Police, (IACP) and American Association of Retired Persons, (AARP).

This program is not being offered because there is a significant problem at Trump. In reality, we have been rather pleased with the low number of incidents here. However, we firmly believe in the concept of zero tolerance. Therefore, even one theft or other crime is too much. Even one missing sweater, box of candy, wallet or pocketbook is unacceptable and will not be tolerated. To report an incident or provide information to help solve a crime call: 1-800-590-5850

For further information contact any administrative staff member or the Social Work Department.

SMOKING RULES:
Smoking by anyone is strongly discouraged however, being realists, we have designated an area on the main floor for residents only who wish to smoke. Any staff member can direct you. Weather permitting, residents may sit outside to smoke. Smoking in other areas is not permitted. Smoking is never permitted in bed, rooms, elevators, corridors, stairwells, closets and bathrooms, near oxygen or other gases or oils. Dispose of cigarettes in ash trays provided in smoking areas. Never dispose of cigarettes in waste cans, garbage cans, on floors, window sills, etc. Never leave cigarettes unattended. Never leave a handicapped resident smoking unattended.

TELEPHONES:
Telephone service can be obtained by leaving a $50.00 deposit in our Business Office which is located on the 1st floor. A new telephone is provided which can be taken home when the resident is discharged. After the deposit is made the Business Office notifies the Communications Department and the telephone will be connected. Since the Business Office is closed on the weekends, telephones are connected Monday - Friday.

From the $50.00 deposit, $2.00 per day is deducted. If a resident stays over 30 days the charge is then $1.00 per day. This deposit is for local calls only. Any calls out of the 718 area code has to made through the operator, by dialing either 1000 or 5000. These calls should be collect or 3rd party billing.

When a resident is being discharged they/family member must go to the Business Office to pay their telephone bills.

For further information, please contact Mrs. Peterson, Director of Communications at (718) 206-5006.

TELEVISION INFORMATION
Television rental is available by calling (718) 458-2211 (T.V. Rental Company) between the hours of 9.00 a.m. and 9.00 p.m. The fee is $30 per month. T.V. Rental Company will make arrangements to have the charge appear on your bill in the Business Office. Please call the Business Office at Extension 5601 if you have any questions. Televisions will receive standard broadcast channels.

For residents who enjoy viewing movies, a portable VCR and a library of movies are available. They can be obtained by making a request to your caregiver, who will alert the Recreation Department.

TIPPING:
The facility's policy prohibits its employees from accepting any tips or gratuities in any form whatsoever from the resident, next of kin or sponsor for services received by the resident at the facility. Employees who accept tips or gratuities are subject to dismissal.

TIPS FOR VISITING AT THE NURSING HOME
1. Visitors are invited to participate in any of the activities. A planned activity is something to do together and can serve to encourage inactive residents to find pleasure in a regularly scheduled event. Check the activity calendar to choose exercises, crafts, parties, or whatever appeals to you.

2. Bring your own activity. What did your friend or relative like to do before placement in the nursing home? Go for a walk, after clearance with the nursing staff. Play cards. Throw a ball. Listen to a ball game. Watch a favorite TV show together. You will have your own ideas. With permission, bring in a pet to play with and discuss.

3. Celebrate a special event. A party is always special and fun. Your friend or relative can be the "Guest of Honor" for whatever occasion you wish to celebrate.

4. Bring in pictures. Ask your loved ones to identify and explain old pictures. Bring them up-to-date by showing and telling the residents about newer family members. Show vacation pictures too!

5. Reminisce. The old remember what it was like to be young. Ask about life in the "old days" and learn something about your roots. Obtain a "Grandparents" book from your local bookstore and record the answers for the generations to come.

6. Share your talents. Are your learning something new? Practice your Spanish, your musical instrument, or your handiwork with your friends or relatives and see if they can notice your improvement from one visit to the next.

7. Show and tell. What is new in your life? Are you excited about a new car, a new set of tools or dishes, or a new outfit? Bring it along and show it off.

8. Help. Perhaps your loved ones need their clothes and belongings marked with their identification. Go through closets and drawers, labeling where each item is kept. Sometimes identifying pictures are more helpful than words.

9. Create a feeling. We all respond and do better when we feel approval and caring. Provide an atmosphere of pleasant concern and security. Find some way to give a compliment or something to appreciate.

10. Touch. We all need physical contact with other human beings. Use your visiting opportunity to hold loved one's hand. Give encouraging and affectionate pats and a hug.

11. Give attention. Individual attention is a wonderful thing. Make sure your friends or relatives know that they have your attention. Look at them when they speak and as you talk to them. They need to feel your undivided attention.

12. Be positive. Try to distract complaining residents by bringing up a cheerful event, telling a joke, or recalling a pleasant incident. Do not get caught up in the negative aspects of living. Make your visit a happy event. Concentrate on feeling positive about our loved one's situation. Do not allow yourself to get bogged down in feelings of guilt, resentment, or self-blaming. This is not helpful to you or the resident.

13. Identify yourself. Sometimes it may be necessary to remind your friends or relatives of your name and relationship to them.

14. Bring a special treat. Sharing favorite foods is appreciated. But also share our concern for cleanliness and contamination. All foods must be contained in a sealed plastic or metal container if it is to be kept in the resident's room. Label all items with the resident's name. Make sure you check first with the nurse or dietician for any possible dietary restrictions.

15. Go for a ride. Residents sometimes have little opportunity to see how the community has changed, to view the scenery, or to see their previous home. Such an outing brings back memories and enlarges the world of the nursing home residents. Please obtain a pass from the Head Nurse.

16. We'll take care of your loved one. Go home and take care of yourself.

VISITING HOURS:
Our suggested visiting hours are 11:30 a.m. - 9:30 p.m. 7 days a week. If earlier or later hours are needed please speak to the floor head nurse for approval.

VISITORS AND RESIDENT CARE:
Visiting hours are clearly posted throughout the building. Exceptions to those visiting hours require approval from the Department of Social Work Services. For the resident's welfare, the number of visitors per resident at a given time may be limited. For resident privacy, visitors are not permitted to remain with the resident when care of any type is being administered.

Visitors are not to administer any direct care to residents. This includes, but is not limited to ambulating residents, assisting residents from bed to chair, trimming nails, etc. Exceptions to the rule may be made by a physician order in preparation for discharge. In this case staff will work with and teach family members how to care for the resident at home. Escorting residents on and off the units is permitted only by staff consent. Should consent be given, notify the nurse in charge when you leave, the destination and when you return. Notify the nurse in charge when you are leaving the resident unattended, and of any complaints, concerns or fears the resident may express. Our residents and their families are very important to us. Please feel free to consult with any of our staff if you have any concerns:-

RESIDENT FLOORS
Main Switchboard (718) 206-5000
Second Floor (718) 206-5200
Third Floor (718) 206-5300
Fourth Floor (718) 206-5400
Fifth Floor (718) 206-5500

2ND FLOOR
Head Nurse - Rosa Chafizov, RN (718) 206-5200
Attending Physician - Dr. Thomas Bizzaro - Internal Medicine (718) 206-5200
Dr. Nilesh Patel (718) 206-5200
Care Coordinator - Magdalena Manuel, RN (718) 206-5200
Dieticians - Rms. 222 - 230, 202-207
Roshan Mathew RD (718) 206-5026
Rms. 208 - 221: Jennifer Taberas, Clinical Dietician (718) 206-5026
Social Worker: Rms. 208 - 217: Alma Fleming, BSW (718) 206-5406
Rms. 218 - 228: Bernice Harris, BSW (718) 206-5506
Rms. 229-230, 202-207 Camille Apelsky, CSW (718) 206-5305

3RD FLOOR
Attending Physician - Dr. Nilesh R. Patel Rms. 322-307 & 302-306
Dr. Rajesh P. Patel Rms. 308-321 (718) 206-5300
Nursing Care Coordinator - Monica Rangila, RN (718) 206-5300
Dietician - Roshan Mathew RD (718) 206-5026
Social Worker - Camille Apelsky, CSW (718) 206-5305

4TH FLOOR
Head Nurse - (718) 206-5400
Attending Physician - Dr. Pedro Ong - Internal Medicine Dr. Avril A. Wilson - Family Practice (718) 206-5400
Nursing Care Coordinator - Janet Dorvil, RN (718) 206-5400
Dietician - Roshan Mathew RD (718) 206-5026
Social Worker - Alma Fleming, BSW (718) 206-5406

5TH FLOOR
Head Nurse - Sheila Dewprashad, RN (718) 206-5500
Attending Physician - Dr. Geraldine Vaz
(718) 206-5500
Nursing Care Coordinator - Magdalena Manuel, RN (718) 206-5400
Dietician - Jennifer Taberas, Clinical Dietician (718) 206-5026
Social Worker -Bernice Harris, BSW (718) 206-5506

NURSING ADMNISTRATION
Vice President, Nursing - Teresa Flores, RN (718) 206-5111
Associate Director of Nursing - Hilda Smith, RN (718) 206-5116
Assistant Director of Nursing - Connie Munson, RN (718) 206-5114
Nursing Care Coordinators - Evenings
Bernice Christensen, RN (718) 206-5115
Wilfred Baptiste, RN (718) 206-5115
Nursing Care Coordinators - Nights
Mercy Thomas, RN (718) 206-5115

OTHER ADMINISTRATIVE PERSONNEL
Executive Vice President - Greg Bradley (718) 206-5100
Vice President, Finance - Karim Merchant (718) 206-5101
Vice President/Medical Director - Anthony S. DiMaria, M.D. (718) 206-5134
Chief, Physical Therapy - Tobi Masucci, MS PT (718) 206-5129
Chief, Occupational Therapy - Andrea Simmonds, OTR(718) 206-5132
Director Speech & Hearing
Robbie Schecter, MA, CCC-SLP (718) 206-5205
Director Social Work - Suzanne Farca, CSW (718) 206-5119
Director Recreation - Giselle Porter (718) 206-5187
Admissions Coordinator - Angela Czarnecki (718) 206-5108
Admissions Coordinator - Andrea John (718) 206-5118
Medicaid Coordinator - Maryanne White (718) 206-5179